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Organization

OPEN BIBLE MEDICAL CLINIC

Active
Parent organization
OPEN BIBLE BAPTIST CHURCH
Other names
Open Bible Baptist Church
Organization subpart
Yes

Provider details

NPI number
Legal business name
OPEN BIBLE BAPTIST CHURCH
Authorized official
MR. JEFFERSON D. MARTIN JR. (PASTOR)
(719) 475-0972
Entity
Organization

Contact information

Practice address
555 E COSTILLA ST, COLORADO SPRINGS, CO 80903-3764
(719) 596-4449
(719) 574-6686
Mailing address
555 E COSTILLA ST, COLORADO SPRINGS, CO 80903-3764
(719) 475-0972
(719) 475-0322

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
261QC1500X
Community Health Clinic/Center

Other

Enumeration date
05/24/2007
Last updated
12/20/2019
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